Predictors of success for physiotherapy treatment in women with persistent postpartum stress urinary incontinence.
نویسندگان
چکیده
OBJECTIVE To identify predictors of success for physiotherapy treatment in women with persistent postpartum stress urinary incontinence (SUI). DESIGN Secondary analysis of data from a single-blind randomized controlled trial comparing 2 physiotherapy intervention programs for persistent SUI in postpartum women. SETTING Obstetric clinic of a mother and children's university hospital. PARTICIPANTS Women, ages 23 to 39 (N=57), were randomized to 1 of 2 pelvic floor muscle (PFM) training programs, 1 with and 1 without abdominal muscle training. INTERVENTION Over 8 weeks, participants in each group followed a specific home exercise program once a day, 5 days a week. In addition, participants attended individual weekly physiotherapy sessions throughout the 8-week program. MAIN OUTCOME MEASURES Treatment success was defined as a pad weight gain of less than 2 g on a 20-minute pad test with standardized bladder volume after 8 weeks' treatment. The relationship between potential predictive PFM function variables as measured by a PFM dynamometer and success of physiotherapy was studied using forward stepwise multivariate logistic regression analyses. RESULTS Forty-two women (74%) were classified as treatment successes, and 15 (26%) were not. Treatment success was associated with lower pretreatment PFM passive force and greater PFM endurance pretreatment, but the latter association was barely statistically significant. This model explained between 23% (Cox and Snell R(2)) and 34% (Nagelkerke R(2)) of the outcome variability. CONCLUSIONS The results contribute new information on predictors of success for physiotherapy treatment in women with persistent postpartum SUI.
منابع مشابه
The effect of postpartum physiotherapy on sexual function and incontinence of primparous women in Al-Zahra and shahid Beheshti hospitals of Isfahan: A randomized clinical trial.
Background: Normal vaginal delivery causes sexual dysfunction as well as urinary and fecal incontinence, which can threaten a person's quality of life. It is believed that pelvic floor muscle strength is the most important factor in improving sexual satisfaction and function and urinary control. Therefore, This study aimed to investigate the role of physiotherapy and pelvic floor exercises in r...
متن کاملPhysiotherapy for persistent postnatal stress urinary incontinence: a randomized controlled trial.
OBJECTIVE The aim of this study was to compare the effectiveness of multimodal supervised physiotherapy programs with the absence of treatment among women with persistent postnatal stress urinary incontinence. METHODS This was a single-blind randomized controlled trial. Sixty-four women with stress urinary incontinence were randomly assigned to 8 weeks of either multimodal pelvic floor rehabi...
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OBJECTIVE To estimate the long-term effect of intensive, 6-week physiotherapy programs, with and without deep abdominal muscle (TrA) training, on persistent postpartum stress urinary incontinence (SUI). METHODS The study was a single-blind randomized controlled trial. Fifty-seven postnatal women with clinically demonstrated persistent SUI 3 months after delivery participated in 8 weeks of eit...
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[Purpose] This review article is designed to expose physiotherapists to a physiotherapy assessment of stress urinary incontinence (SUI) and the treatment and possibly preventive roles that they might play for women with SUI. Specifically, the goal of this article is to provide an understanding of pelvic floor muscle function and the implications that this function has for physiotherapy treatmen...
متن کاملعواملمستعدکنندهبیاختیاریادراریپساز زایمان
Background : Pelvic floor disorders such as prolaps of pelvic organ, urinary and anal incontinence are very common in women and almost affect ⅓ of them. Determination of risk factors and presenting preventing measures are research priorities. Objective : To determine predisposing factors in postpartum urinary incontinence. Design : This was a case- control study in design information obta...
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ورودعنوان ژورنال:
- Archives of physical medicine and rehabilitation
دوره 91 7 شماره
صفحات -
تاریخ انتشار 2010